2,982 results match your criteria Acta chirurgica Iugoslavica[Journal]


Diagnostic and therapeutic protocol in the treatment of hypo functional kidney.

Acta Chir Iugosl 2014 ;61(1):113-8

Laparoscopic nephrectomy is indicated in the treatment of many benign conditions of the kidneys. Hydronephrosis caused by obstruction of the ureter, either internal, or external, is one of the main indications for laparoscopic reconstruction. If an obstruction is prolonged, consequently, it leads to chronic inflammatory process accompanied by persistent and recurrent pain with fever, which eventually become resistant to therapy. Read More

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October 2015

A case report of the first laparoscopic radical nephrectomy done at the Clinic of Urology, Clinical Centre of Serbia.

Acta Chir Iugosl 2014 ;61(1):107-11

Laparoscopic interventions are at the very beginning of its evolution in the Clinic of Urology. The first steps have been made primarily to cope with problem of varicocele. We continued to gain laparoscopic experience by switching to solving some demanding intervention, primarily kidney cyst. Read More

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October 2015

Management of penile trauma caused by a dog bite.

Acta Chir Iugosl 2014 ;61(1):103-5

Background: Dog bites to the external genitalia are extremely rare. The literature shows only sporadic cases of penile injuries due to dog bites, presenting mostly as children and adolescents.

Case Presentation: We report the case of a 45-year old patient with avulsion and traumatic de-gloving of the penile skin, with exposure of the tunica albuginea, which surrounds the cavernous bodies. Read More

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October 2015
21 Reads

Complications of Camey-Le Duck ureteral reimplantation technique in modified ureterosigmoidostomy (Mainz pouch II) urinary diversion.

Acta Chir Iugosl 2014 ;61(1):95-101

Objective: to analyze complications and clinical outcome of Camey-Le Duck ureteral reimplantation technique in modified Mainz pouch II urinary diversion.

Patients And Methods: this retrospective study included a total of 110 patients (101 male and 9 female, mean age 59.2 years, SD = 10. Read More

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October 2015
3 Reads

Men with LUTS and diabetes mellitus.

Acta Chir Iugosl 2014 ;61(1):91-4

Introduction: Diabetic urinary bladder disfunction is a common problem. Disfunction will occur in about 80% of diabetic patients. Comon symptoms include retention, overactive bladder, sfincted dissinergy and urinary tract infections. Read More

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October 2015

Etiopathogenesis, diagnostics and history of surgical treatment of stress urinary incontinence.

Acta Chir Iugosl 2014 ;61(1):85-90

Urinary incontinence represents involuntary urine leakage into the urethra. This pathological condition represents a major medical, social and hygienic problem. The paper presents risk factors for development of the disorder, as well as diagnostic methods applied in evaluation of the female patients. Read More

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October 2015
10 Reads

Tension free vaginal tape (TVT) vs Transobturator tape (TOT) complications and outcomes.

Acta Chir Iugosl 2014 ;61(1):81-4

Background: Stress urinary incontinence (SUI) is managed with both TVT and TOT. The TVT route of placement could result in a higher com-plication rate. The aim of this study is to analyze and compare outcomes and complications of TVT and TOT in SUI treatment. Read More

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October 2015
4 Reads

New and experimental techniques in the treatment of benign prostatic diseases.

Acta Chir Iugosl 2014 ;61(1):75-80

Background: Benign prostatic hyperplasia (BPH) and chronic prostatitis (CP) are disorders with high prevalence and have a great impact on overall morbidity in men. The patients that do not respond to medical therapy for lower urinary tract symptoms (LUTS) related to BPH are candidates for surgery. However, the number of men with BPH/LUTS seeking for non-surgical, or for less invasive treatment is growing. Read More

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October 2015
6 Reads

Management of JJ stent-related symptoms.

Acta Chir Iugosl 2014 ;61(1):73-4

Ureteric JJ stents are inserted in numerous pa- tients as a routine procedure. Nevertheless, the ideal JJ stent that does not cause any lower urinary tract symptoms has not been developed yet. Even special validated ques- tionnaires have been used for the assessment of JJ stent-related symtoms. Read More

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October 2015
5 Reads

Trans-Obturator-Tape (T.O.T.) "outside-in" approach in surgical treatment of female stress urinary incontinence.

Acta Chir Iugosl 2014 ;61(1):69-72

Objective: The aim of the study was to analyzed the efficacy and safety of a minimally invasive surgical procedure using the Trans- Obturator-Tape with "outside-in" approach for treatment female stress urinary incontinence.

Patients And Methods: 171 women with stress urinary incontinence (SUI) associated with urethral hypermobility, underwent the T.O. Read More

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October 2015
1 Read

Orthotopic urinary diversion after radical cystectomy in treatment of muscle invasive bladder cancer.

Acta Chir Iugosl 2014 ;61(1):63-7

Surgical treatment of invasive carcinoma of the bladder in males includes total cystectomy removal of the prostate, seminal vesicles, and the distal parts of the urethers and the pelvic lymph node dissection as well. At this moment it is not possible to recommend a particular type of urinary diversion, but today in clinical practice commonly used derivative are ileal orthotopic neobladder as the continent one and ileal conduit as non-continent urinary diversion. Continent urinary diversion after radical cystectomy are the result of the application of technological innovation in surgery, but also knowledge, imagination and skill of well trained urologist. Read More

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October 2015
10 Reads

Usage of GreenLight HPS 180-W laser vaporisation for treatment of benign prostatic hyperplasia.

Acta Chir Iugosl 2014 ;61(1):57-61

Introduction: Laser therapy has gained increasing acceptance as a relatively less invasive treatment for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). From the early procedure of interstitial laser coagulation through to the use of holmium laser enucleation of the prostate, there has been an expanding body of evidence on the efficacy of such procedures. One of the newer lasers is the Green Light HPS 180 W laser. Read More

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October 2015
5 Reads

Complications associated with percutaneous nephrolitholapaxy (PCNL)--our experience and literature review.

Acta Chir Iugosl 2014 ;61(1):51-6

Background: PCNL is safe procedure which is well tolerated, but as with any other surgical procedure, it is associated with a specific set of complications. There is a marked heterogeneity in reporting complication rates in literature, and this problem was highlighted in Ad Hoc EAU guidelines panel who recommended urgent creation of uniform and reproducible quality system. Modified Dindo-Clavien grading system today is the most utilized classification for complications in urology, and standard in reporting complications for PCNL. Read More

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October 2015
30 Reads

Preservation surgery in patients with localized renal cell cancer--nephron sparing surgery.

Acta Chir Iugosl 2014 ;61(1):45-9

Introduction: Renal Cell Cancer ( RCC) is third most frequent urological cancer behind Prostate cancer and Bladder cancer. It represents 2-3 % of all cancers with annual increase in incidence of 2% in Europe (except Denmark and Sweden) and worldwide. Surgery is the only curative procedure, performed as radical nephrectomy (RN) or partial nephrectomy (nephron sparing surgery-NSS). Read More

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October 2015
8 Reads

Reconstruction of the long urethral strictures with the buccal mucosal free graft.

Acta Chir Iugosl 2014 ;61(1):41-4

Introduction: Reconstruction of the long urethral strictures is a difficult task in urology. The most frequently usedmethod is augmentation with the free buccal mucosal graft.

Material And Methods: Restrospective analysis of 57 patients with the long urethral stricture was performed. Read More

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October 2015
3 Reads

Laparoscopic transperitoneal renal cyst decortication.

Acta Chir Iugosl 2014 ;61(1):35-40

The aim of this study was to report our experience with the llaparoscopic transperitoneal treatment of simple renal cysts, to analyze the immediate and long-term clinical outcomes, and to evaluate the efficacy and safety of this miniinvasive surgical technique. Between 2009 and 2014 we diagnosed and treated a total of 48 patients with symptomatic simple renal cysts. The diagnosis was set up by ultrasound (US) and/or computed tomography (CT) examination. Read More

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October 2015
5 Reads

Sigma-rectum pouch (Mainz pouch II).

Acta Chir Iugosl 2014 ;61(1):29-34

The Mainz pouch II is a well tolerated form of continent urinary diversion in terms of morbidity, protection of the upper urinary tract and continence rate, even in patients aged > 65 years. Mainz pouch II was described by Fisch and Hohenfellner in 1991. They viewed the simplicity and reproducibility of the operation as one of its major advantages. Read More

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October 2015
28 Reads

Surgical care vesicovaginal fistulas in women with malignant gynecological disease.

Acta Chir Iugosl 2014 ;61(1):25-7

Vesicovaginal fistulae (VVF)represents one of the most frequent complications of various gynecological and obstetric procedures. In presence of a gynecological malignant tumor, fistula could be the outcome of surgical complications, radiotherapy or consequence of the tumor process. Reparation of these fistulae is a very complex problem. Read More

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October 2015
3 Reads

Diode laser vaporization of prostate as treatment for benign prostatic enlargement: initial results of 73 patients with 1 year follow-up.

Acta Chir Iugosl 2014 ;61(1):21-4

Objective: Our objective is to evaluate the efficacy, safety and 12 month outcome of a 980 nm diode laser with Twister fiber in the treatment of benign prostatic enlargement.

Materials And Methods: Between February 2011 and January 2013, 73 patients with benign pros- tatic enlargement had undergone diode laser vaporization of prostate at our institution. The fol- lowing parameters were assessed at baseline, and after a follow-up period of 3 and 12 months: International Prostate Symptom Score, peak urinary flow rate, post-void residual urine volume, and quality of life score. Read More

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October 2015
40 Reads

Retrospective evaluation of male slings for patients with urinary incontinence after radical prostatectomy--one surgeon's experience.

Acta Chir Iugosl 2014 ;61(1):17-9

Introduction: Stress urinary incontinence is one of the main complications after radical prostatectomy (RP) with a significant percentage of patients reporting bothersome incontinence > 1 year after surgery.

Objective: Assessment of one surgeon's results in surgical treatment of urinary stress incontinence of patients with radical prostatectomy applying transobturator and suprapubic slings.

Patients And Metods: From February 2010-February 2014, 20 patients, age 57-76, with moderate and severe stress urinary incontinence (SUI) were treated surgically. Read More

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October 2015
8 Reads

Urinary tract injury associated with pelvic fractures.

Acta Chir Iugosl 2014 ;61(1):9-15

Introduction: Pelvic trauma associated with urinary tract injury is a severe trauma, mostly caused by traffic accidents and falls from heights. These injuries require urgent treatment and close teamwork between urologic and orthopaedic surgeons.

Material And Methods: In this retrospective study there were analyzed patients with pelvic trauma and extraperitoneal injury of urinary tract, treated surgically at Clinic for Ortopaedic Surgery and Traumatology and Urology Clinic in Clinical Center Nis. Read More

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October 2015
5 Reads

Genitourinary injuries associated with pelvic fractures.

Acta Chir Iugosl 2013 ;60(2):117-20

Urological Clinic, Clinical Center of Serbia, Belgrade, Serbia.

Introduction: Pelvic fractures represent approximately 3% of all skeletal injuries. About 15% of patients with pelvic fractures have associated bladder or urethral injuries. The most common causes of pelvic fracture are motor vehicle accidents, motorcycle crashes, motor vehicles striking pedestrians, and falls. Read More

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October 2015
6 Reads
1 Citation

[Designing special prosthesis "spacer"].

Acta Chir Iugosl 2013 ;60(2):109-15

DOO Grujic & Grujić, Novi Sad, Srbija.

Malignant diseases of the medial part of the femur, humerus and tibia, treated with surgical removal of the affected part of the bone and prosthesis fitting special "Spacer". This type of prosthesis is made in the form of the proximal and distal components that connect by screws. The design of endoprosthesis provides without possible rotation linear relationship and allows the transfer of load from the proximal to the distal bone, but the screws that provide connection are not exposed to stress. Read More

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October 2015
3 Reads

[Knee angular deformity correction using unicorticotomy and callus distraction by external fixation method and presentation of new external fixation device for varus correction of proximal tibia].

Acta Chir Iugosl 2013 ;60(2):103-8

Klinika za Ortopediju i traumatologiju, Klinicki centar, Univerzitet u Nisu, Srbija.

The main goal of this paper is to present clinical results of surgical correction of angular (varus and valgus) deformities of knee area. Goal is also to present new external fixation device for surgical treatment of varus deformity of proximal tibia. As material it has been used series of 70 patients treated during the period of 6. Read More

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October 2015
16 Reads

Fractures of the scaphoid, diagnosis and management--a review.

Acta Chir Iugosl 2013 ;60(2):99-102

Clinic of Orthopedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade.

The scaphoid is vitally important for the proper mechanics of wrist function. Fracture of the scaphoid bone is the most common carpal fracture. Among all wrist injuries the incidence of scaphoid fracture is second only to fractures of the distal radius. Read More

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October 2015
13 Reads

[Stability and quality of osteosynthesis in treatment of tibial pylon fractures with dynamic external fixation typ Mitkovic].

Acta Chir Iugosl 2013 ;60(2):93-8

Klinika za ortopediju i traumatologiju, KC, Nis.

Unlabelled: The study included 35 patients with fractures of distal tibia treated at the department of orthopedics HC K. Mitrovica and the Orthopedic clinic in CHC of Nis by a dynamic external fixator fixation of ancle. Ovadia-Beals score was used to assess the quality and repositioning and to assess the stability assessment made osteosynthesis. Read More

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October 2015
3 Reads

[Dynamic forces of Mitkovic self-dinamysible trochanteric Internal fixators (SIF)].

Acta Chir Iugosl 2013 ;60(2):87-91

Klinika za ortopedsku hirurgiju i traumatologiju, Klinicki centar Nis.

Dynamic trochanteric fractures implants allow fracture fragments to be compressed. Dynamisation can be realized if the axial pin force overcome friction force between pin and body of the implant. Examination of sliding iniciation forces in Mitkovic Selfdinamysible Trochanteric Internal Fixator (SIF). Read More

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October 2015
1 Read

[Comparative analysis of the position of the graft in the femur after anterior cruciate ligament reconstruction done through the front inner portal and through the shin bone].

Acta Chir Iugosl 2013 ;60(2):81-5

Klinika za ortopedsku hirurgiju i traumatologiju, Klinicki centar Vojvodine.

Anterior cruciate ligament (ACL) is the most common surgically treated knee ligament. If we take into account the fact that incidence of ACL injuries is growing, it is clearly that the interest of orthopedic surgeons for this pathology is also growing. Increasing number of this operations leads to increasing of complications, which requires its analysis. Read More

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October 2015
8 Reads

[Results of the application of a new method of internal fixation of femoral neck fractures--self-tapping antirotation cannulated screws (SAF)].

Acta Chir Iugosl 2013 ;60(2):71-9

Klinika za ortopediju i traumatologiju, Klinicki Centar Nis, Srbija.

Introduction: Femoral neck fractures are one of the most common fractures primarily the elderly, coupled with a high degree of morbidity and mortality. The treatment is applied a number of methods of internal fixation (multiple cannulated screws available, DHS system, cefalomedullary). At the Department of Orthopedics and Traumatology of Nis developed a new method of fixation of femoral neck fracture, which allows stable fixation of dislocated and nondislocated femoral neck fracture. Read More

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October 2015
5 Reads

[Avascular necrosis of the femoral head in the patients with posterior wall acetabular fractures associated with dislocations of the hip].

Acta Chir Iugosl 2013 ;60(2):65-9

Univerzitet u Nisu, Medicinski fakultet, Ortopedsko-traumatoloska Klinika KC Nis, Srbija.

Introduction: Acetabular fractures are severe injuries, mostly occured in young patients after traffic accident or fall from heights. Of the all acetabular fractures, posterior wall acetabular fractures are the most often observed. Regarding to mechanism of the injury, about 30% of these fractures are associated with posterior hip dislocation. Read More

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October 2015
4 Reads

[Minimally invasive treatment of bilateral femoral shaft fractures in polytrauma patient using selfdinamisibile internal fixator. A case report].

Acta Chir Iugosl 2013 ;60(2):59-64

Klinika za Ortopediju i Traumatologiju, Klinicki centar Nis.

Proper timing and surgical method in management of femur fractures in polytrauma patients can greatly reduce the mortality, morbidity and disability. The aim of this paper is to present the treatment of bilateral femoral fractures in polytrauma patient with dominant chest trauma by selfdynamisable internal fixator Mitkovic (SIF) as a definitive method of fractures treatment. A 23 years old female was injured in a traffic accident. Read More

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October 2015
10 Reads

Surgical treatment of the unstable type C pelvic injury.

Acta Chir Iugosl 2013 ;60(2):53-8

University of Nis, Medical faculty of Nis, Orthopaedic & Traumatology Clinic Nis, Serbia.

Rotationally and vertically unstable injuries to the pelvic ring (Type C) require stabilisation of the anterior and posterior pelvic ring complex. Inadequate treatment of these injuries leads to chronic instability of the pelvic ring, which can finally cause permanent disability. Open reduction and stable internal fixation of the anterior and posterior complex of unstable pelvic ring injuries are standard procedures in the treatment of hemodynamically stable patients with (Type C) pelvic injuries. Read More

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October 2015
13 Reads

Operative treatment of metacarpal and phalangeal fractures with Kirschner wire fixation--a review.

Acta Chir Iugosl 2013 ;60(2):49-52

Orthopedic and Traumatology Clinic, Clinical Centre of Serbia, Belgrade, Serbia.

Although hand fractures are most common fractures treated in orthopedic practice, many practicians treat them as trivial injuries. Improperly managed they can cause consequences and impair hand function. Metacarpal and phalangeal fractures are classified based on geometry, anatomic localization and wound presence and treatment depend on mechanism of injury. Read More

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October 2015
9 Reads

Nature and results of treatment of war wounds caused by cluster bombs.

Acta Chir Iugosl 2013 ;60(2):41-7

Orthopaedic and Traumatology Clinic, Clinical center, University of Nis, Serbia.

The aim of this study is to describe the nature of war wounds with fracture caused by cluster bombs and to suggest treatment options for such injuries. The nature of wounds caused by cluster bombs differs from those caused by conventional arms (they are more severe). The sides of the wounds are represented by conquasated soft tissues (such as fat and muscle) with thick dead tissues, ordinarily with a thickness of 0. Read More

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October 2015
15 Reads

Dilemmas in the treatment of tibial diaphyseal fractures.

Acta Chir Iugosl 2013 ;60(2):33-9

Traumatology Clinic, Clinical Centre Banja Luka.

Introduction: Tibial fractures accompanied by radius fractures at typical sites are the most common type of fractures.

Objective: The study is aimed at using the examined sample to make an efficient and economically acceptable choice in the treatment of tibial diaphyseal fractures.

Material And Methods: The series comprises a retrospective and prospective study of the treatment of 131 fresh tibial fractures: 31 in women (23. Read More

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October 2015
1 Read

Distal radius fractures--systematic review.

Acta Chir Iugosl 2013 ;60(2):29-32

Orthopedic and Traumatology Clinic, Clinical Center of Serbia.

Distal radius fractures are an increasingly prevalent upper extremity injury, especially among elderly patients. They represent approximately 3% of all upper extremity injures. Severity of these fractures is directly related to bone mineral density of the patient, and clinical results are dependent on this parameter as well. Read More

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October 2015
6 Reads

Replantation of upper extremity, hand and digits.

Acta Chir Iugosl 2013 ;60(2):23-7

School of Medicine, University of Belgrade, Serbia.

Replantation is defined as reattachment of the part that has been completely amputated and there is no connection between the severed part and the patient. In Boston in 1962 Malt successfully replanted a completely amputated arm of a 12-year-old boy. Komatsu and Tamai reported the first successful replantation of an amputated digit by microvascular technique. Read More

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October 2015
10 Reads

Disruption of the knee extensor apparatus complicating anterior cruciate ligament reconstruction.

Acta Chir Iugosl 2013 ;60(2):13-21

Department of Orthopaedic Surgery and Traumatology, Clinical Centre of Vojvodina, Faculty of Medicine, University of Novi Sad.

Disruption of the knee extensor apparatus, after harvesting the central third of the patellar tendon for a bone-tendon-bone autograft, is a rare complication. We made 2215 reconstructions of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and 10 patients had fracture of the patella (0.45%), and fore patients had rupture of the patellar tendon (0. Read More

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October 2015
2 Reads

[Use of free vascularized fibular graft flap in the treatment of large bone defects after limb injury].

Acta Chir Iugosl 2013 ;60(2):9-12

Klinika za ortopedsku hirurgiju i traumatologiju, Klinicki Centar Srbije, Beograd.

Free vascularized fibular graft is of the greatest importance in the orthopaedics and trauma. Bone, skeletal defects due to the trauma, infections and congenital anomalies could be successfully solved by the free vascularized fibular grafts. In this article the main anatomical data of fibular graft, surgical techniques, indications for the FVFG in the treatment of trauma caused bone defects or its complications -sequels are described. Read More

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October 2015
6 Reads
1 Citation

Case of leptosuccin induced malignant hyperthermia in a patient with GIST of the rectum.

Acta Chir Iugosl 2012 ;59(2):121-3

Center for anesthesiology and reanimatology, Clinical Center of Serbia.

Malignant hyperthermia (MH) is a form of myopathy that is usually triggered by volatile anaesthetics such as halothane, sevoflurane and desflurane and depolarising muscle relaxants such as succinylcholine. Pathologic response in MH include increase in oxygen consumption, increase in endtidal CO2, tachycardia, hyperthermia, hyperkalemia and muscle rigidity. Immediate recognition and treatment are crucial to avoid lethal outcome. Read More

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March 2013
3 Reads

Simultaneous laparoscopic pyloroplasty and ileocecal resection in Crohn's disease.

Acta Chir Iugosl 2012 ;59(2):117-20

Department of Surgery, University of Schleswig Holstein, Campus Lübeck, Germany.

Background: The initial manifestation of Crohn's disease is often located within the terminal ileum. Other portions of the G.I. Read More

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Use of vacuum-assisted closure device in a disastrous form of abdominal sepsis and stoma site infection: systematic review and report of a case.

Acta Chir Iugosl 2012 ;59(2):111-5

First Surgical Clinic, Clinical Center of Serbia, Belgrade, Serbia.

Use of Vacuum-Assisted Closure (VAC) for treatment of open abdomen has been established predominantly in cases of severe abdominal trauma, resulting with high percentage of primary fascial closure. The role of VAC technique in cases of severe diffuse peritonitis is not definitely incorrigible. However, in cases of severe complicated abdominal sepsis VAC come up as a last resort. Read More

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March 2013
10 Reads

Consumption of meat during adolescent period as a predictor for colorectal cancer.

Acta Chir Iugosl 2012 ;59(2):107-10

Department of Public Health Sombor, Sombor.

Red meat and processed meat may increase the risk of developing colon cancer. A small amount of red meat, not more than 50 gr. week and avoid processed meats completely, significantly reducing the risk of this disease. Read More

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Single access laparoscopic right hemicolectomy.

Acta Chir Iugosl 2012 ;59(2):103-6

General and Mini-Invasive Surgical Unit, "San Camillo" Hospital, Trento, Italy.

Single Access Laparoscopic Colectomy (SALC) were reported in several studies. The first Single Access laparoscopic right colectomy was descibed by Remzi et Al. We report our experience in SALC describing our approach for Right Colectomy. Read More

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March 2013
4 Reads

Treatment of the rectal cancer in casuistic Clinic for Abdominal Surgery, Clinical Centre of the University of Sarajevo (2006.-2010.).

Acta Chir Iugosl 2012 ;59(2):97-101

Clinic for Abdominal Syrgery, KCU Sarajevo, Bosnia and Herzegovina.

Malignant disease of the colon and rectum is the most often human neoplasm which comprises about 30% of all digestive tumours. Thereat, cancer of the lower end the colon (rectum) comprises 45 to 48% of all CRC (colorectal cancers). According to "American Society Cancer", only lung and prostate cancer in men and breast and cervix cancer in women are more frequent than CRC. Read More

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Surgical treatment of chronic hidradenitis suppurativa in the gluteal and perianal regions.

Acta Chir Iugosl 2012 ;59(2):91-5

General Surgery Clinic, University Hospital Center "Mother Teresa", Tirana, Albania.

Introduction: Verneuil disease, or perianal hidradenitis suppurativa (HS), is a chronic suppurative disease with a tendency to develop sinus formation, fibrosis, and sclerosis, having a great impact on quality of life. HS affect the apocrine sweat glands or sebaceous glands and may arise in each of the regions where the apocrine glands are prominent: the axilla, breast aureole, umbilicus, perineum, groin, and buttocks. We present here moderate and extensive HS cases, with their respective treatment methods and outcomes. Read More

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March 2013
9 Reads

Transanal endoscopic microsurgery (TEM) for T1 rectal cancer.

Acta Chir Iugosl 2012 ;59(2):87-90

Department of Colorectal Surgery, Pôle des Maladies de l'Appareil Digestif(PMAD), Beaujon Hospital, Assistance publique-Hôpitaux de Paris (AP-HP), University Denis Diderot (Paris VII), France.

Transanal endoscopic microsurgery (TEM) was introduced in 1983 as an alternative to radical proctectomy for the management of rectal adenomas unsuitable for endoscopic or standard transanal resection. Since, its indications have progressively broadened to early rectal cancer. This review article will assess the role of TEM for T1 rectal cancer management, along with its operative and long-term results. Read More

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March 2013
2 Reads

Minor vs complete excision of pilonidal sinus--early postoperative period.

Acta Chir Iugosl 2012 ;59(2):81-5

3rd Department for Colorectal Surgery, 1st Surgical Clinic, Clinical Centre of Belgrade, Serbia.

Pilonidal sinus arises in the natal cleft of the sacrococcigeal region either as a cyst or as an abscess collection containing hair. It is predominantly a condition of younger people. When presenting as an abscess it usually requires surgical incision and drainage, or bursts spontaneously. Read More

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March 2013
8 Reads

Laparoscopic approach for inflammatory bowel disease surgical managment.

Acta Chir Iugosl 2012 ;59(2):75-9

Department of Colorectal Surgery, Pôle des Maladies de l'Appareil Digestif (PMAD), Beaujon Hospital, Assistance publique-Hôpitaux de Paris (AP-HP), University Denis Diderot (Paris VII) Clichy, France.

For IBD surgical management, laparoscopic approach offers several theoretical advantages over the open approach. However, the frequent presence of adhesions from previous surgery and the high rate of inflammatory lesions have initially questioned its feasibility and safety. In the present review article, we will discuss the role of laparoscopic approach for IBD surgical management, along with its potential benefits as compared to the open approach. Read More

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March 2013
1 Read

Single access laparoscopic colorectal surgery: lights and shadows.

Acta Chir Iugosl 2012 ;59(2):71-4

General and Mini-Invasive Surgery, "San Camillo" Hospital, Trento, Italy.

Introduction: To minimize the complications related to conventional multiport laparoscopic surgery, the single access laparoscopic surgery has been developed. Some results of case series and case-controlled studies are supporting the feasibility and safety of Single Access Laparoscopic Colectomy (SALC).

Materials And Methods: Since January 2009 we performed all kind of colorectal procedure by a single access laparoscopic approach. Read More

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